Organization Active NPI

Highlands of Dyersburg LLC

  • Nursing Facility/Intermediate Care Facility
  • Dyersburg, TN
National Provider Identifier
1003061334
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
HIGHLANDS OF DYERSBURG LLC
Practice address
350 E Tickle St
Dyersburg, TN 38024-3118
Phone
(731) 285-9710
Fax
(731) 285-9949
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Denny Barnett
Title
Manager
Phone
(443) 904-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

350 E Tickle St
Dyersburg, TN 38024-3118

Mailing address

350 E Tickle St
Dyersburg, TN 38024-3118
Phone (731) 285-9710

Other names 1

  • The Highlands of Dyersburg Health & Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dyersburg Health and Rehabilitation Cent2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1003061334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243118",
            "telephone_number": "731-285-9710",
            "fax_number": "731-285-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243118",
            "telephone_number": "731-285-9710",
            "fax_number": "731-285-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS OF DYERSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DENNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-904-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Highlands of Dyersburg Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.